A qualitative analysis about the application of electronic prescription
Background and Aim: Electronic prescription (e-prescription) is a form of technology that records electronically all format information of prescriptions and provides flow of information in the electronic platform. According to the researches, e-prescription decreases errors and cost on prescribing and increases the quality of health service delivery. The practice has been used in our country since 2012 and is being developed day-by-day. The aim of our study is to evaluate e-prescription practice from the viewpoint of physicians, patients, pharmacists and pharmacy workers in the first year.
Methods: Our research is qualitative and it was conducted with physicians, patients, pharmacists and pharmacy workers in Istanbul between 28.02.2014-30.04.2014. It was done semi-structu-red, in-depth interviews with physicians, pharmacists and pharmacy workers; and focus group interviews with patients. The voice recordings of interviews were analyzed one-on-one and the thematic analysis was done.
Results: According to our research, e-prescription makes things easier for physicians, pharmacists as well as, enables them to save time and pleases users by decreasing the cost. However, both systematic as well as technical difficulties and individual mistakes such as in accurately entered data bring about negative results such as causing users to lose time or hindering me-dicines from being bought.
Conclusions: According to our study in the first year of e-prescribing practice, it generally constitutes satisfaction among users. But when it is thought that the development of e-presciption practice is a dynamic process, carrying out current research related to the topic is of great importance. At this point, our research results will shed light on the researches that will be planned abo-ut this issue.
References
- Akıcı A, Altun R. Elektronik (e) reçete uygulaması ve akılcı ilaç kullanımına katkısı. Türkiye Aile Hekimliği Dergisi 2013;17(3):125-33.
- Qureshi EA. Electronic health records, electronic prescribing and medication errors: A Systematic review of literature, 2000-2014 British Journal of Medicine & Medical Research 2015;5(5):672-704.
- Wang CJ, Patel MH, Schueth AJ, Bradley M, Wu S, Crosson JC, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. Journal of the American Medical Informatics Association: JAMIA 2009;16(4):493-502.
- Strom BL, Kimmel SE, Hennesy H. Pharmacoepidemiology. 5th ed. West Sussex, John Wiley & Sons Ltd. 2012:158-286.
- Rupp MT, Warholak TL. Evaluation of e-prescribing in chain community pharmacy: best-practice recommendations. Journal of the American Pharmacists Association: JAPhA 2008;48(3):364-70.
- T.C. Sosyal Güvenlik Kurumu. E-Reçete 2016. http://www.sgk.gov.tr/wps/ portal/sgk/tr/saglik/alo170_BimerSSS/e_recete. adresinden 16/02/2019 tarihinde erişilmiştir.
- T.C. Sosyal Güvenlik Kurumu. Medula Eczane Reçete ve Rapor Web Servisleri Kullanım Kılavuzu 2019. https://medeczane.sgk.gov.tr/doktor /SaglikTesisiReceteVeRaporWebServisleri.pdf. adresinden 17/02/2019 tarhinde erişilmiştir.
- T.C. Sağlık Bakanlığı. SGK Duyuruları 2019. https://khgmfinansalanalizdb.saglik.gov.tr/TR,40486/sgk-duyurulari.html.adresinden 14/02/2019 tarihinde erişilmiştir.
- Bulut S, Yildiz A, Kaya S. Evaluation of transition to electronic prescriptions in Turkey: Perspective of family physicians. International journal of health policy and management 2018;8(1):40-8.
- Mutlu H, Köse C, Meral O, Şenol E, Uygun S, Koçak A. Ege Üniversitesi Tıp Fakültesi asistan doktorlarının e-reçeteye bakışı: Anket çalışması. NWSA-Medical Seciences 2013;8(3):26-9.
- Gider Ö, Ocak S, Top M. Sağlık hizmetlerinde elektronik reçete (E-Reçete) uygulamasının değerlendirilmesine yönelik bir araştırma. Bilgi Ekonomisi ve Yönetimi Dergisi 2015;10(1).
- Gsmall i UO, Ocak S, Top M. Evaluation of electronic prescription implications in Turkey: an investigation of the perceptions of physicians. Worldviews on evidence-based nursing 2015;12(2):88-97.
- Lapane KL, Rosen RK, Dube C. Perceptions of e-prescribing efficiencies and inefficiencies in ambulatory care. International journal of medical informatics 2011;80(1):39-46.
- Esmaeil Zadeh P, Tremblay MC. A review of the literature and proposed classification on e-prescribing: Functions, assimilation stages, benefits, concerns, and risks. Research in social & administrative pharmacy: RSAP 2016;12(1):1-19.
- Sebetci Ö, Aksu G, Önder B. Eczane çalışanları tarafından kullanılan e-Reçete sistemi başarısının ölçülmesi. Elektronik Sosyal Bilimler Dergisi 2014;13(49):292-311.
- Volpe CR, Melo EM, Aguiar LB, Pinho DL, Stival MM. Risk factors for medication errors in the electronic and manual prescription. Revista latino-americana de enfermagem 2016;24:e2742.
- Hitti E, Tamim H, Bakhti R, Zebian D, Mufarrij A. Impact of internally developed electronic prescription on prescribing errors at discharge from the emergency department. The western journal of emergency medicine 2017;18(5):943-50.
- Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Journal of the American Medical Informatics Association: JAMIA 2008;15(5):585-600.
- Nanji KC, Rothschild JM, Boehne JJ, Keohane CA, Ash JS, Poon EG. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. Journal of the American Medical Informatics Association: JAMIA 2014;21(3):481-6.
- Abramson EL. Causes and consequences of e-prescribing errors in community pharmacies. Integrated pharmacy research & practice 2015;5:31-8.
- Samadbeik M, Ahmadi M, Sadoughi F, Garavand A. A Copmarative review of electronic prescription systems: Lessons learned from developed countries. Journal of research in pharmacy practice 2017;6(1):3-11.
- Hollingworth W, Devine EB, Hansen RN, Lawless NM, Comstock BA, Wilson-Norton JL, et al. The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time motion study. Journal of the American Medical Informatics Association: JAMIA 2007;14(6):722-30.
- Warholak TL, Rupp MT. Analysis of community chain pharmacists’ interventions on electronic prescriptions. Journal of the American Pharmacists Association: JAPhA 2009;49(1):59-64.
- Smith M, Sprecher B. Pharmacy communications with physician offices to clarify prescriptions. Journal of the American Pharmacists Association: JAPhA 2017;57(2):178-82.